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GARY HEALTH DEPARTMENT NPI 1659415214


NPI Information

NPI: 1659415214
Provider Name: GARY HEALTH DEPARTMENT

Doing Business As: MATERNAL CHILD HEALTH CLINIC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2200 GRANT ST
SUITE 204
GARY, IN
ZIP 46404
Phone: (219) 887-5146
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GARY HEALTH DEPARTMENT is a general practice dentist in Gary, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GARY HEALTH DEPARTMENT NPI is 1659415214. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Maternal Child Health Clinic.

The provider's business location address is:

2200 GRANT ST
SUITE 204
GARY, IN
ZIP 46404-439
Phone: (219) 887-5146
Fax: (219) 884-2756

The provider's authorized official is Shirley Hawkins .
The authorized official title is Executive Director and has the following contact phone number (219) 882-5565.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes
2171M00000XCase Manager/Care CoordinatorX
3207Q00000XFamily MedicineX
4207VX0000XObstetrics & GynecologyObstetricsX
5208000000XPediatricsX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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